Surgical Technique Guides | Orthopedic Trauma Implants

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Pilon Fracture Plating Technique: Staged Protocol, Approaches and Distal Tibia Plate Placement

The pilon fracture — a distal tibia fracture that involves the weight-bearing surface of the ankle — punishes impatience more than any other fracture in trauma surgery. Early open fixation through swollen, fracture-blistered skin leads to wound breakdown and deep infection at rates that forced the whole specialty to change its protocol. Modern treatment is s...

Pilon Fracture · Distal Tibia Plating

Proximal Humerus Locking Plate Technique: Reduction, Calcar Support and Screw Placement

Locking plating is the most common operation for displaced proximal humerus fractures in active patients, and it is one of the least forgiving. The humeral head is a small ball of cancellous bone held by tuberosity fragments under rotator cuff pull, and the margin for error is measured in millimeters: a plate a few millimeters too high impinges under the acr...

Proximal Humerus · Locking Plating

Olecranon and Proximal Ulna Plating: Technique for Displaced and Comminuted Fractures

Plating has taken over from tension band wiring in most displaced olecranon fractures, and for clear reasons: comminution, oblique fracture lines and extension into the proximal ulnar shaft all defeat the simple mechanics of a wire loop, while a contoured dorsal plate controls the fracture and lets the elbow move early. The operation rewards precision — the ...

Olecranon · Proximal Ulna Plating

Volar Locking Plate Technique for Distal Radius Fractures: Approach, Reduction and Screw Placement

Volar locking plating is the standard operation for displaced distal radius fractures in most adults. The approach is safe, the plate sits on the flat volar surface of the radius, and the fixed-angle construct holds the reduction while the patient moves the wrist early. The results still depend on technique: an inadequate reduction, a plate sitting past the ...

Distal Radius · Volar Plating

Posterolateral Approach to the Ankle: Technique for Distal Fibula Fracture Plating

The posterolateral approach to the ankle gives direct access to the distal fibula from behind the peroneal tendons, and it has become the workhorse exposure for oblique lateral malleolus fractures that call for antiglide plating. It also opens the way to a posterior malleolar fragment through the same incision, which a standard lateral approach cannot do. Th...

Ankle Fracture · Distal Fibula Plating

Gamma Nail Surgical Technique: Cephalomedullary Nailing for Intertrochanteric Femur Fractures

The term gamma nail has become the common search name for a whole implant class: the short or long cephalomedullary nail used to fix intertrochanteric and subtrochanteric femur fractures. Different manufacturers build their own systems, and the surgical technique is broadly shared across all of them. This guide walks through the procedure as it is actually d...

Cephalomedullary Nailing · Intertrochanteric Fractures

Surgical Techniques